Filing Details

Accession Number:
0000919574-16-017263
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-12-23 17:17:55
Reporting Period:
2016-12-21
Filing Date:
2016-12-23
Accepted Time:
2016-12-23 17:17:55
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1029581 Modsys International Ltd MDSY Services-Computer Programming Services (7371) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1513202 Lake Union Capital Management, Llc 714 3Rd Street South
Kirkland WA 98033
No No Yes No
1513203 R. Michael Self 714 3Rd Street South
Kirkland WA 98033
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Ordinary Shares, Nis 0.04 Per Share Disposition 2016-12-21 159,356 $1.04 1,818,973 No 4 S Indirect See footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect See footnote
Footnotes
  1. These securities are held in the accounts of two investment partnerships (collectively, the "Investment Vehicles") for which Lake Union Capital Management, LLC ("Lake Union") serves as the general partner. Michael Self is the managing member of Lake Union. Lake Union and Mr. Self may be deemed to beneficially own the securities held by the Investment Vehicles by virtue of Lake Union's position as general partner of the Investment Vehicles and Mr. Self's status as the managing member of Lake Union. Each of the Investment Vehicles and Lake Union disclaim beneficial ownership of the reported securities except to the extent of his or its pecuniary interest therein, and affirmatively disclaim being a "group" for purposes of Section 16 of the Securities Exchange Act of 1934, as amended.